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General NPI Number Information
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NPI Number | 1043521396
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Entity Type | Individual
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Provider Name | NATALLIA HUTMAN DPT
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Gender | Female
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 1855 RICHMOND AVE STE 104
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3912
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Country | US
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Telephone | 718-880-8571
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Fax | 718-556-7868
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Provider Business Mailing Address
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Address Line | 1855 RICHMOND AVE STE 104
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3912
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Country | US
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Telephone | 718-880-8571
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Fax | 718-556-7868
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 19068
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 035024
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License Number State | NY
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